Russell Van Stroud (NPI# 1184933145, PAC ID# 0749444784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184933145 |
| PAC ID by PECOS | 0749444784 |
| Professional Enrollment ID | I20120604000267 |
| Full Name | Russell Van Stroud |
| Organization Legal Name | SOUTH ARKANSAS EMERGENCY PHYSICIANS LLP |
| Address |
3873 N Parkview Dr Fayetteville AR 72703-6286 |
| Phone Number | 4795717070 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486705720 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| 040152 | PHYSICIANS' SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 | 4795531000 | SOUTH ARKANSAS EMERGENCY PHYSICIANS LLP |
| 3873 N Parkview Dr, Fayetteville, AR 72703-6286 | 4795717070 | SOUTH ARKANSAS EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | SOUTH ARKANSAS EMERGENCY PHYSICIANS LLP |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Sheedy | Emergency Medicine | South Arkansas Emergency Physicians LLP | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Brian C Baird | Emergency Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Jeremy Wayne Owen | Nurse Practitioner | South Arkansas Emergency Physicians LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Alberto Gomez | Emergency Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Danelle M Richards | Emergency Medicine | South Arkansas Emergency Physicians LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Seth Purcell | Emergency Medicine | South Arkansas Emergency Physicians LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Joel Jones | Family Medicine | South Arkansas Emergency Physicians LLP | 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 |
| Jermey R Jones | Family Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Peter H Ball | Family Medicine | South Arkansas Emergency Physicians LLP | 609 W Maple Ave, Morthwest Medical Ctr, Springdale, AR 72764-5335 |
| Byron T Garibaldi | Emergency Medicine | South Arkansas Emergency Physicians LLP | 609 W Maple Ave, Morthwest Medical Ctr, Springdale, AR 72764-5335 |
| Street Address |
3873 N PARKVIEW DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-6286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Sheedy | Emergency Medicine | South Arkansas Emergency Physicians LLP | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Sean P Mccarthy | Certified Registered Nurse Anesthetist (crna) | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Matthew D Hicks | Certified Registered Nurse Anesthetist (crna) | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| William L Murry | Anesthesiology | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Justin Bridwell | Certified Registered Nurse Anesthetist (crna) | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Thomas J Davis | Anesthesiology | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Leah Carrington | Nurse Practitioner | South Arkansas Emergency Physicians LLP | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Aaron M Bell | Certified Registered Nurse Anesthetist (crna) | Fayetteville Arkansas Hospital Company LLC | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Shelly D Alexander | Nurse Practitioner | South Arkansas Emergency Physicians LLP | 3873 N Parkview Dr, Fayetteville, AR 72703-6286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAYETTEVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.